Highlandspring of Ft Thomas

Inspectors wroteBased on observation, interview, and review of the facility's policies, the facility failed to store food under sanitary conditions. Observations of the kitchen on 02/08/2026 revealed undated cans on the rack, four packages of vanilla wafers out of the box and not dated, a large clear plastic container with the appearance of white rice not labeled or dated, and one undated bag of chocolate chips out of the box. Continued observation on 02/08/2026 revealed three of five clear plastic covered cereal containers with no label or date in the second floor serve kitchen. Also, observation on 02/09/2026 in the kitchen revealed the bucket sanitizer had no documentation of the date or time the sanitizer was checked or changed. The deficient practice had the potential to affect all 136 current residents.

Inspectors wroteBased on interview, record review, and review of the facility's policy, the facility failed to develop and implement a comprehensive, person-centered care plan for each resident that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs and describe the services to be furnished to attain or maintain a resident's highest practicable physical, mental, and psychosocial well-being for 2 of 27 sampled residents, Resident (R) 52 and R79. The facility admitted R52 and R79 with known histories of Post-Traumatic Stress Disorder and histories of known triggers. However, in the residents' admission care plans, no interventions were in place to prevent potential adverse behaviors.

Inspectors wroteBased on observation, interview, and review of the facility's documents, the facility failed to make the location of the results of the State Inspection book available to residents without asking. In an interview with the Resident Council members on 02/09/2026, they stated they did not know the state survey results were available for their review and did not know the location of the survey results without asking. This deficient practice had the potential to affect all 136 current residents.

Inspectors wroteBased on observation, interview, record review, review of the facility's policy, review of the Facility Assessment Tool, and review of the Payroll-Based Journal Staffing Data Report, the facility failed to have sufficient qualified nursing staff available at all times to provide nursing and related services to meet the residents' needs safely and in a manner that promoted each residents' rights, physical, mental, and psychosocial well-being. During interviews with seven interviewable residents, Residents (R) 6, R34, R69, R82, R101, R108, and R116, they all stated they had concerns and care issues as a result of low staffing with wait times from 30 to 45 minutes for assistance. During interviews with Resident Representatives for R81 and R52, they stated they had concerns with low staffing.

Inspectors wroteBased on observation, interview, review of medication package inserts, and review of the facility's policy, the facility failed to label drugs and biologicals in accordance with currently accepted professional principles and include the expiration date when applicable for 6 of 6 sampled medication carts. Review of the six medication carts revealed four opened bottles of eyedrops without a date on the container, one bottle of expired potassium chloride tablets, one opened Advair inhaler without a date on the container, three expired bottles of nasal spray, 10 opened bottles of nasal spray without a date on the container, and one opened/used vial of lidocaine that was undated.

Inspectors wroteBased on observation, interview, record review, and review of the facility's policies, the facility failed to implement a comprehensive person-centered care plan for each resident to meet the resident's medical, nursing, and mental and psychosocial needs that were identified in the comprehensive assessment for 2 of 29 sampled residents, Resident (R)23 and R82. R23 and R82 were not provided Activities of Daily Living (ADL) care per their care plan.

Inspectors wroteBased on observation, interview, record review, and review of the facility's policies, the facility failed to ensure residents who were unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming, and personal hygiene for 2 of 29 sampled residents, Resident (R) 23 and R82. R82 reported showers were not given as needed. Review of R82's electronic medical record (EMR) revealed showers/baths were to be given two days a week, but R82 only received three showers/baths in September 2024, three showers/baths in October 2024, and three showers/baths in November 2024. R23 stated she preferred bed baths, but they were not offered regularly. Review of R23's EMR revealed showers/baths were to be given two days a week, but from 11/07/2024 to 12/05/2024, R23 received only one bath/shower each week.

Inspectors wroteBased on observation, interview, record review, review of the Centers for Disease Control and Prevention (CDC) signage, and review of the facility's policies, the facility failed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 3 of 29 sampled residents, Resident (R)10, R231, and R26. Observation on 12/04/2024 revealed R10 was in Enhanced Barrier Precautions (EBP), but State Trained Nurse Aide (STNA) 11 and STNA12 changed R10's brief and the bed linen without wearing a gown. Observation on 12/04/2024 revealed STNA11 and STNA12 used a gait belt to transfer R10 to a wheelchair, and then they then attempted to use the same gait belt to transfer her roommate, R231. Observations on 12/03/2024 and 12/05/2024 revealed R26's wound vacuum (vac) tubing was on the floor.

Inspectors wroteBased on observation, interview, record review and review of facility Policy, it was determined the facility failed to treat each resident with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance of his or her quality of life for one (1) of twenty-six (26) sampled residents (Resident #65). Interview with Resident #65 on 09/24/19, revealed State Registered Nurse Aide (SRNA) #10 told the resident that he/she was wetting his/her pants and vomiting purposefully and it made SRNA #10 mad (date unknown). Further, Resident #65 complained SRNA #10 was sometimes rude and accused him/her of frequently ringing the call light and always ringing the call light at the end of the shift when she needed to leave to get her kids on the school bus.